Beacon Name Changing to Affinity

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September 30, 2016 Dear Provider, A few months ago we sent you some information and an attestation of acknowledgement that the Beacon network name will be changing to the Affinity network for the 2017 plan year. With 2017 open enrollment beginning in November, we want to make sure you are aware of changes to Moda’s Beacon Network, which is available to individuals purchasing health coverage directly from Moda or through the federal marketplace exchange. For plans effective January 1, 2017, the Beacon Network name in your area will change to the Affinity Network. The Beacon Network will continue to serve members in select Western Oregon counties. The Affinity Network will be available to individual members residing in the following counties: Baker Morrow Gilliam Sherman Grant Umatilla Harney Union Lake Wallowa Malheur Wheeler Affinity is designed to ensure members find the care they need, when they need it, Affinity helps members looking for customized care that fits their individual lifestyle and budget, and find the care they need, when they need it. With Affinity, members have access to a large selection of providers including Blue Mountain Hospital District, Good Shepherd, Grande Ronde Hospital, Harney District Hospital, Lake District Hospital, Pioneer Memorial Hospital (Heppner), St. Alphonsus Baker City, St. Alphonsus Ontario, and Wallowa Memorial Hospital. Although the Affinity name is new, we don’t expect any changes to your current workflow. Reimbursement, referrals to in-network providers, prior authorizations and processes will be the same. Individuals choosing plans supported by the Affinity network will be asked to select a primary care physician (PCP) to coordinate care. After January 1, 2017, Beacon members who seek services from your practice will be considered out of network. Please ask the member to contact their selected Beacon Primary Care Provider to choose the most appropriate Beacon provider in their service area. Members currently enrolled in the Beacon network who reside in the counties listed above, will receive notification to choose a new plan by January 1, 2017. For the latest information on Affinity Network providers, visit modahealth.com and click Find Care. Search as a guest, then follow the instructions to find in-network Affinity providers. Please note, plans offered to small and large groups will not be impacted by these changes. The Connexus, Synergy, and Summit networks will remain unchanged for the 2017 plan year. We understand it may be challenging to identify which network a members belongs to. Below we’ve provided a sample Affinity Network ID card to help you direct members to the appropriate providers and services they need. As a valued partner in supporting healthy communities, Affinity will continue to drive the goal of achieving the triple aim: Better health. Better care. Better value. We look forward to taking this journey with you. Questions? We’re here to help. Call us at 877-605-3229 or visit www.modahealth.com for more information on Moda’s Individual networks and plans. Sincerely, Moda Medical Provider Relations Page 2 .

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